Provider Demographics
NPI:1134726136
Name:VENEZIA INNOVATIVE SERVICES
Entity type:Organization
Organization Name:VENEZIA INNOVATIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DZAKPASU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-297-1002
Mailing Address - Street 1:16762 E ILIFF AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1135
Mailing Address - Country:US
Mailing Address - Phone:720-297-1002
Mailing Address - Fax:
Practice Address - Street 1:16762 E ILIFF AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1135
Practice Address - Country:US
Practice Address - Phone:720-297-1002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-03
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty